https://hdl.handle.net/20.500.14356/1998 2026-04-13T10:34:29Z 2026-04-13T10:34:29Z Lamichhane, J https://hdl.handle.net/20.500.14356/2030 2024-04-21T06:06:12Z 2010-01-01T00:00:00Z

Title: Dilemma of Medical Graduates in Nepal Authors: Lamichhane, J Abstract: Abstract The medical education system is in infancy in Nepal. There are many constrains at various levels. The numbers of medical colleges are increasing every year without considering for its quality by the concerned authorities. Nepal Medical Council is the authorized body to look for medical professionals in the country. Even though, efforts have been made from various sectors but are insufficient. This article will mainly focus on the life of a medical graduate in Nepal. It will give an idea of how these graduates have to undergo various problems regarding their career, family, profession and social lives, right after their graduation. Description: Medical Education

2010-01-01T00:00:00Z Kohli, S C Parajuli, M Maskey, A Acharya, C P https://hdl.handle.net/20.500.14356/2029 2024-04-21T06:06:48Z 2010-01-01T00:00:00Z

Title: An Unusual presentation of Acute Coronary Syndrome Authors: Kohli, S C; Parajuli, M; Maskey, A; Acharya, C P Abstract: Abstract Acute coronary syndrome in elderly can manifest with a variety of atypical presentation and may be associated with other comorbid conditions. We present an atypical presentation of ACS in an elderly left handed female presenting with sudden onset of slurred speech preceded by dizziness and vomiting. After through clinical examination and investigation she was managed as a case of non ST elevation myocardial infarction and ischaemic stroke. Description: Case Study

2010-01-01T00:00:00Z Agarwal, A Praveen, C R Hirachan, S Karmacharya, A Belokar, W K https://hdl.handle.net/20.500.14356/2028 2024-04-21T06:07:34Z 2010-01-01T00:00:00Z

Title: Prostatic Abscess a Diagnostic Dilemma Authors: Agarwal, A; Praveen, C R; Hirachan, S; Karmacharya, A; Belokar, W K Abstract: Abstract Abscess of the prostate has become increasingly rare due to modern antibiotics and a decreasing incidence of gonococcal infections. It is still difficult to diagnose the disorder on clinical grounds. Diagnosis is often made after Ultrasound examination. We report 2 cases of prostatic abscess and review etiopathogenic factors, clinical findings, diagnosis and treatment of this uncommon entity. Description: Case Study

2010-01-01T00:00:00Z Maharjan, B R Bhandary, S Risal, P Sedhain, A Gautam, M https://hdl.handle.net/20.500.14356/2027 2024-04-21T06:08:15Z 2010-01-01T00:00:00Z

Title: Microalbuminuria and Macroalbuminuria in Type 2 Diabetes Authors: Maharjan, B R; Bhandary, S; Risal, P; Sedhain, A; Gautam, M Abstract: Abstract Background: Type 2 diabetes is the leading cause of end stage renal disease worldwide. Prevalence of diabetic nephropathy (DN) varies in the different ethnic groups. Nepal is country with great ethnic diversity. This study has been done to find the prevalence of microalbuminuria and macroalbuminuria in the two ethnic groups Jyapu and Brahmin. Methods: In our study we have included two ethnics groups Jyapu and Brahmin type 2 diabetic patients. Inclusion criteria: Age ≥ 30 years, clinically diagnosed type 2 diabetic patients. Exclusion criteria: Patients with a history of urinary tract infection, hematuria, renal failure, intercaste marriage and women with menstruation at the time of sample collection. Results: The overall prevalence of albuminuria was 49.05%. The prevalence of microalbuminuria was 35.89% in Jyapu and 37.73% in Brahmin which was comparable. There was significantly higher prevalence of macroalbuminuria in Jyapu 20.75% and Brahmin 3.77%. Association of dietary habit was seen with microalbuminuria and macroalbuminuria in both ethnic groups. Conclusions: The overall prevalence of albuminuria in type 2 diabetes of our study was high and there was significantly higher macroalbuminuria in Jyapu compared with Brahmin. It, therefore, predicts a higher risk of having kidney disease in Jyapu population. Description: Original Article

2010-01-01T00:00:00Z